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Employment
Contact Information
Name
Phone
Email
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Contact Address
Street
City
State/Province
Zip/Postal Code
Requested Information
If hired can you provide evidence of legal eligibility to work in the U.S.
Choose an option
Yes
No
Position Desired?
Choose an option
Waiter/Waitress
Host/Hostess
Bartender
Bar-back
Management
What is your salary requirement (if any)?
Full Time or Part Time?
Have you ever been conviceted of a felony, or misdemeanor involving any violent act, use or possession of a weapon, or act of dishonesty for which the record has not been sealed or expunged, or do you have such a case pending?
Choose an option
Yes
No
If yes, when?
If yes, where?
Date that you can begin work:
‹
May 2020
›
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Sa
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Are you 18 years of age or older?
Choose an option
Yes
No
Name of high school attended:
City and State of high school:
Graduate?
Choose an option
Yes
No
GED?
Choose an option
Yes
No
Graduated
Name of college or technical school:
City & State of colllege or technical school:
Graduate?
Choose an option
Yes
No
Degree:
Major:
Are you presently enrolled in school?
Choose an option
Yes
No
If yes, give name & address of school and expected graduation date:
Do you have your own transportation?
Choose an option
Yes
No
List any job-related skills or acomplishments, including military service:
What is your availability for work?
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Reference #1
List reference that we can contact:
How do you know them, and for how long?
Phone Number
Reference #2
List reference that we can contact:
How do you know them, and for how long?
Phone Number
Reference #3
List reference that we can contact:
How do you know them, and for how long?
Phone Number
Employment History
Name of Employer:
Job Title/Duties
Address
City/State/Zip
Dates of Employment (From When - To When):
Supervisor name and phone number:
Hourly pay or salary (Starting pay & ending pay):
Reason for leaving:
Previous Employment History
Name of Employer:
Job Title/Duties
Address
City/State/Zip
Dates of Emloyment (From When - To When):
Supervisor name and phone number:
Hourly pay or salary (Starting pay & ending pay):
Reason for leaving:
Other Employment History
Name of Employer:
Job Title/Duties
Address
Dates of Emloyment (From When - To When):
City/State/Zip
Supervisor name and phone number:
Hourly pay or salary (Starting pay & ending pay):
Reason for leaving:
Electronic Signature
By putting your name in this box, you are electronically signing this application:
Additional Information
Notes:
Submit